多模态体感运动对甲状腺癌全切术后患者的干预效果研究

doi:10.3761/j.issn.0254-1769.2023.14.004

摘要/Abstract

摘要：

目的开发甲状腺癌全切术后患者多模态体感运动系统，并分析其应用效果。方法采用便利抽样法，选取2021年2月—2022年1月浙江省某三级甲等医院头颈外科行甲状腺癌全切术的100例患者为研究对象，采用随机数字表法分为试验组与对照组，除常规居家运动，试验组在对照组护理措施基础上行多模态体感运动疗法，对照组采用术后常规护理措施。分别在干预第4、8、12周比较两组患者疲乏、生活质量与运动依从性。结果重复测量方差分析结果显示，两组疲乏得分随干预时间延长均有下降，干预第4、8、12周试验组疲乏得分均低于对照组，差异有统计学意义（P<0.001）；试验组干预第8、12周整体生活质量得分高于对照组（P<0.001）；随干预时间延长，试验组运动完成率与达标率下降程度在不同时间段均小于对照组，差异有统计学意义（P<0.001）。结论多模态体感运动可改善甲状腺癌术后患者的疲乏、生活质量与运动依从性，应鼓励患者术后进行科学、有效的运动。

关键词: 多模态运动, 体感运动, 甲状腺肿瘤, 疲乏, 生活质量, 依从性, 护理

Abstract:

Objective To develop multimodal somatosensory exercise system for patients after total thyroidectomy，and analyze its application effect. Methods Using the convenient sampling method，100 patients who underwent total thyroidectomy in the head and neck surgery department of a tertiary first-class hospital in Zhejiang Province from February 2021 to January 2022 were selected as the research subjects. They were divided into a test group and a control group according to the random number table method. In addition to routine home exercise，the test group received multimodal somatosensory exercise therapy on the basis of conventional nursing measures，and the control group received routine postoperative nursing measures. The fatigue，quality of life and exercise compliance of the 2 groups were compared at the fourth week，the eighth week and the twelfth week of intervention respectively. Results The results of repeated measurement ANOVA showed that the fatigue scores of the 2 groups decreased with the extension of the intervention time. The fatigue scores of the test group were lower than those of the control group at the fourth week，the eighth week and the twelfth week of the intervention，with a statistically significant difference（P<0.001）. The overall quality of life scores of the test group were higher than those of the control group at the 8 th and 12 th week of the intervention（P<0.001）. With the prolongation of the intervention time，the decline of the exercise completion rate and the rate of reaching the standard in the test group was smaller than that in the control group at different time periods，with a statistically significant difference（P<0.001）. Conclusion Multimodal somatosensory exercise can improve the fatigue，quality of life and exercise compliance of patients with thyroid cancer after surgery. Patients should be encouraged to perform scientific and effective exercise after surgery.

Key words: Multiple-Modality Exercise： Somatosensory Exercise, Thyroid Tumor, Fatigue, Quality of Life, Adherence, Nursing Care

朱慧, 沈利凤, 吕恬, 陈杰, 金艾香. 多模态体感运动对甲状腺癌全切术后患者的干预效果研究[J]. 中华护理杂志, 2023, 58(14): 1691-1699.

ZHU Hui, SHEN Lifeng, LÜ Tian, CHEN Jie, JIN Aixiang. Effect of multimodal somatosensory exercise in patients after total thyroidectomy[J]. Chinese Journal of Nursing, 2023, 58(14): 1691-1699.

图/表 5

表1 多模态体感运动方案

Table 1 Multimodal somatosensory exercise therapy scheme

表2 两组一般资料比较

Table 2 Comparison of the balance of general data and disease-related data among the 2 groups before the intervention

表3 两组不同时间点中文版癌症疲乏量表得分比较（分，$\bar{x}±s$）

Table 3 Comparison of cancer-related fatigue scale scores in different groups of patients at different time points（score，$\bar{x}±s$）

表4 两组患者不同时间点生活质量比较（分，$\bar{x}±s$）

Table 4 Comparison of quality of life scores in different groups of patients at different time points（score，$\bar{x}±s$）

表5 两组不同时间段运动依从性比较

Table 5 Comparison of exercise compliance between 2 groups at different time points

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